Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $354.81 / $457.09	Facility	26	$239.88	$354.81	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $2,398.83	Professional		$588.84	$812.83	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $199.53 / $575.44	Professional	26	$114.82	$199.53	$575.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.53 / $295.12 / $1,258.93	Professional	52	$199.53	$295.12	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $616.60 / $1,348.96	Professional	TC	$467.74	$616.60	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $812.83	Professional		$537.03	$645.65	$812.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $117.49 / $165.96	Professional	26	$104.71	$117.49	$165.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $478.63 / $602.56	Professional	TC	$323.59	$478.63	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,202.26	Professional		$524.81	$630.96	$1,202.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $117.49 / $218.78	Professional	26	$95.50	$117.49	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $512.86 / $977.24	Professional	TC	$426.58	$512.86	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,513.56	Professional		$616.60	$933.25	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $181.97 / $316.23	Professional	26	$120.23	$181.97	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $741.31 / $1,258.93	Professional	TC	$501.19	$741.31	$1,258.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $758.58 / $758.58	Facility	26	$288.40	$758.58	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $6,165.95	Professional		$588.84	$933.25	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $194.98 / $1,071.52	Professional	26	$114.82	$194.98	$1,071.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $758.58 / $3,890.45	Professional	TC	$489.78	$758.58	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,348.96	Professional		$575.44	$812.83	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $269.15	Professional	26	$112.20	$165.96	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $645.65 / $1,071.52	Professional	TC	$457.09	$645.65	$1,071.52